The first patient I wrote about him was not actually sick; As a medical student in the first year, this grammatical construction has not entered-a “sick”-aware of it, much less than my dictionary. However, by the time I met, he had already died. My colleagues followed my teams in the viscera of the Al -Fahid Medical Office, north of the Bellefo Hospital, immediately after the silent storage areas of the non -demanding bodies and in the bustle of the autopsy room. There was a boy, perhaps twelve years old, almost no space on the metal table.
His shirt was pushed up to detect a smooth prior box. The sporty basketball shoes were strangely bright in a room that has since retreated to my memory. I barely recorded the narrow gap between our ages because I was blind with a small bullet hole. I had no language to explain how a very small thing could bend such destruction.
A decade has passed before I was able to write about that moment. By that time, I finished the Faculty of Medicine and Residence, and spending years in communicating with suffering to the point that the advice of academic guides-took off for eighteen months to temperature as a traveler doctor, fill the doctor’s shortage in small cities, then wandering through Central America to accumulate some Spanish that affects the need. In the only shopping centers and dusty markets, I started to scribble the notebooks. The boy on the metal table was the first ghost to advance. I didn’t know after that that I was sliding into a time fraught with the role of the doctor. After all these years, though, I am still trying to make a diagnosis: Why do doctors write?
In some sense, doctors have always been a book, as they reports cases since ancient times. Literary writing by doctors is a more modern development. Anton Chekhov Oliver Windel Holmes, the father, was doctors, but their writings seemed very independent of their clinical functions; The term “doctor” is generally dedicated to the doctor practicing activity that stems directly from patient care. This model crystallized in the late twentieth century, with a neurologist Oliver bags And a pair of Yale surgeons, Sherwin B. Noland and Richard Silser. When I was a medical student, I read the bags.The man whose wife erred in a hat“It was biological, physiological, physiological, we are not completely different from each other. It has shown that medicine could be a means in these novels, and therefore in this uniqueness.
There was no lack of reading during the MED School, but all of this felt strict transactions – I kept the facts for progress in my training. Bags, Noland, and Sezer made me realize that there is a place in some of these facts. They wrote directly about medicine, dissection of layers of the disease for the disease and the complications of being a doctor. Nothing can bring me back better to rotate my surgery than Selzr’s explanation of how to use a scalpel, in his notes, “Below you are quenching: “One carries a knife as the bow holds from the chilo. Books: “The knife is not to pressure. It is for drawing in the field of skin. “In these writings, the doctor was a character in the story.
This book was born a generation of doctors’ book. Today, it can look as if every doctor leaves a stay with the equivalent of a book that is going on inside. This barely surprised, as medical training brokes ordinary people unusual, as the classes of life or death are not just metaphors. If there is a specific similarity to many medical notes – the first child, the first death, the first resuscitation, the first recognition that medicine cannot always be treated – does not necessarily detract from the magic of readers. Books written by the doctors’ book carry a special charge because of the true nature of the drama. But it is not simply, or at least it should not be – such writings on the borders on exploitation. The nearest way I can describe is a feeling of awe, reviving it daily as we deal with our patients, in the human condition and the encouragement that does not depend on it. What another place can one wrestle with something very amazing and very brutal, except for the page?
During my training, all literary writing was devoured by the doctors that I can get, desperate to understand “anatomy and hospital physiology”, as the pediatrician Perry Class put in her notes, “A completely benign action“The book – and the columns of its previous magazine – have given me a crashing course in” horrific evidence over the thinness of the barrier between normal life and disasters. “Abraham Fergiz Debot,”Bodily“During my stay, and grabbed me in a stygian hole, which represents the point of the middle. Control or prediction.
When I withdrew from my medical training, I had a set of special stories that threaten the explosion, although I don’t think I got to know them as stories themselves. They were simply the features of exhaustion. It was one of my first TEMP tasks in a remote corner of New Mexico. In a modest community library, she stumbledStrange blood“By an ER doctor named Frank Huiller. Most medical notes do not put much of the place-the hospital is a hospital-but Huiller has been placed in the southwest, with angular prose and an inaccurate prose such as the landscape outside the window. Life and death in ER” are the possibilities of whispering around us, the wheels turn, molecules such as virgin. After that, perhaps once or twice in the entire life, the events conspire, statistics correspond to the strength of diamonds against us, and they expel us, there is no chance, the winds are blowing through us, we have gone. “
“His amazement,” is the opening line of the Raphael Campo articles.The desire to heal“What I read when I was starting as a treating doctor. When Campo – a gay man was studying medicine at Harvard University – dominates stress, unwanted food, cigarettes, and an excited diet, ended up in a clinic office, both observer and imagined as the doctor examined him:“ When he was speaking. . . . I felt that he was listening to my heart and lungs, and understanding everything I had for a long time is impossible to say. ” Through the training course, through the training course, through the training course. Lake finger. )) Someone often does not feel the pulse that connects the page in the writings of doctors, but the book Campo led to the house that every character in the medical deal – though – is the human being, whisked with pulses, and is often contradictory.
But what about patients? What is their share in this metal medical institution, and what do they owe? Family members may prove an offer in their books, but doctors have a credit duty towards their patients, not to mention my moral. The patient meets with a doctor in a unique deadly moment, and he is wounded by assuming care and recovery. There is an inherent consistency of weakness here; Doctors and patients are not equal to the Thanksgiving table.
Within the medical profession, there are different views on the ethics of doctors writing. Some argue that the doctor must obtain official approval from patients before writing about them, just as with any medical procedure; Others believe that the unique weak situation of the patient makes the informed approval really impossible. When I asked patients if I could write about them, they are usually applicable, and they are often enthusiastic; Many spent years in an attempt to hear their story and welcomes an opportunity to see her, whose authenticity has been validated in the general registry. There is often a degree of discomfort, however, most of the doctors ’book responds in various equality: a request for written or oral approval, changing the characteristics of identification, creating complex characters, using wide broad lines, waiting years, and waiting until the patients die, and the transformation from my stories to imagination, or get rid of the narration and a brother to the hair. Although there are a few formal guidelines, consensus on approval may have been possible when possible, and to determine identification when not, and the commitment to prepare that the patient’s welfare always comes first.
